Spatial-temporal patterns and influencing factors for hemorrhagic fever with renal syndrome : A 16-year national surveillance analysis in China

© 2024 The Authors. Published by Elsevier B.V..

Background: China is confronted with the significant menace posed by hemorrhagic fever with renal syndrome (HFRS). Nevertheless, the long-term spatial-temporal variations, regional prevalence patterns, and fundamental determinants' mechanisms for HFRS remain inadequately elucidated.

Methods: Newly diagnosed cases of HFRS from January 2004 to December 2019 were acquired from the China Public Health Science Data repository. We used Age-period-cohort and Bayesian Spacetime Hierarchy models to identify high-risk populations and regions in mainland China. Additionally, the Geographical Detector model was employed to quantify the determinant powers of significant driver factors to the disease.

Results: A total of 199,799 cases of HFRS were reported in mainland China during 2004-2019. The incidence of HFRS declined from 1.93 per 100,000 in 2004 to 0.69 per 100,000 in 2019. The incidence demonstrated an inverted U-shaped trend with advancing age, peaking in the 50-54 age group, with higher incidences observed among individuals aged 20-74 years. Hyperendemic areas were mainly concentrated in the northeastern regions of China, while some western provinces exhibited a potential upward trend. Geographical detector model identified that the spatial variations of HFRS were significantly associated with the relative humidity (Q = 0.36), forest cover (Q = 0.26), rainfall (Q = 0.18), temperature (Q = 0.16), and the surface water resources (Q = 0.14).

Conclusions: This study offered comprehensive examinations of epidemic patterns, identified high-risk areas quantitatively, and analyzed factors influencing HFRS transmission in China. The findings may contribute to the necessary implementations for the effective prevention and control of HFRS.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

One health (Amsterdam, Netherlands) - 18(2024) vom: 06. Apr., Seite 100725

Sprache:

Englisch

Beteiligte Personen:

Wen, Bo [VerfasserIn]
Yang, Zurong [VerfasserIn]
Ren, Shaolong [VerfasserIn]
Fu, Ting [VerfasserIn]
Li, Rui [VerfasserIn]
Lu, Mengwei [VerfasserIn]
Qin, Xiaoang [VerfasserIn]
Li, Ang [VerfasserIn]
Kou, Zhifu [VerfasserIn]
Shao, Zhongjun [VerfasserIn]
Liu, Kun [VerfasserIn]

Links:

Volltext

Themen:

China
Hemorrhagic fever with renal syndrome
Journal Article
Risk factors
Spatial-temporal patterns

Anmerkungen:

Date Revised 25.04.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.onehlt.2024.100725

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371126231